| NPI | 1063840619 |
|---|---|
| Former Name | TARYN HOUSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.010823) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209010823) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209010823) | |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2022-03-25 |